| NPI | 1659305613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROBERT REIDER Clinical Psychologist/CEO 888-293-3182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY13784) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2011-10-11 |