| NPI | 1558613109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBI R KOOYMAN President & CEO 714-225-0815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY20091) |
| Enumeration Date | 2012-10-06 |
| Last Update Date | 2012-10-06 |