| NPI | 1609387158 |
|---|---|
| Doing Business As | PSYCHSOURCE |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH VALENZUELA CEO 714-916-6668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 70498) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2018-06-16 |