| NPI | 1366749749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON HEATH HINZE President/Clinical Psychologist 310-614-3795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY23840) |
| Enumeration Date | 2011-02-19 |
| Last Update Date | 2012-01-06 |