| 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 |