| NPI | 1649656661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETICIA CHAVEZ President 559-575-0475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy22998) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |