NPI | 1659559136 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSE FUENTES President 909-248-4332 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY19230) |
Enumeration Date | 2008-02-06 |
Last Update Date | 2021-02-02 |