| NPI | 1396983128 |
|---|---|
| Doing Business As | JON PETERSON,PHD |
| Entity Type | Organization |
| Authorized Contact | JON W PETERSON Owner 949-363-7386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA PSY6987) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2009-02-02 |