| NPI | 1376184465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC WILLIAM VAN DER VOORT Owner / Clinical Psychologist 619-786-8685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2022-02-28 |