| NPI | 1639251168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARACELY ROQUE Clinical Psychologist I 714-935-8248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA IMF 41740) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2008-06-17 |