| NPI | 1376141440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE VALERE ESTONACTOC Clinical Psychologist 949-412-7178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |