NPI | 1699167098 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH M MALANCHARUVIL Psychologist 951-347-3765 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY8026) |
Enumeration Date | 2015-02-23 |
Last Update Date | 2015-02-23 |