| NPI | 1558815407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLERENDEL GRIPEOS Operations Director 562-215-1808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 7972) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |