| NPI | 1659579217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WRIGHT COLEGROVE Psychologist 818-986-4362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY10862) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-08-22 |