| NPI | 1558751743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD GIAQUINTO President 818-618-8830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY 16707) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |