| NPI | 1407369317 |
|---|---|
| Former Legal Business Name | CITY OF THE HEART PSYCHOLOGICAL SERVICES, INC. |
| Entity Type | Organization |
| Authorized Contact | WOLFGANG ANGELUS KLEBEL CEO 951-928-6326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY6005) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2023-04-25 |