| NPI | 1568580546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CASTLEBERGH PARKER President 619-697-0944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY5717) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |