| NPI | 1396254769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA J ARCHULETA Clinical Health Psychologist 210-202-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 33976) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2023-10-20 |