| NPI | 1467720243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA M CORDOVA Manager 714-730-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY6949) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: CA PSY6949) |
| 106H00000X Marriage & Family Therapist (Licence: CA PSY6949) | |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2011-12-07 |