| NPI | 1568581346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST WILSON FEDERER Owner Administrator 805-581-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA PSB 30655) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2012-10-29 |