| NPI | 1457470825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWYN W ORTIZ-NANCE Clinical Director 559-635-4252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY13698) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC24170) |
| 103G00000X Clinical Neuropsychologist (Licence: CA PSY18170) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2012-01-11 |