| NPI | 1376817429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT CANDELORA Owner/President 818-790-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY5341) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |