| NPI | 1497901391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK ROBERT WACHTMANN President 619-977-6007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY5830) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |