| NPI | 1720295272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL ANGEL ALVAREZ Vice President 619-688-1937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY15506, PSY15664) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |