NPI | 1720384142 |
---|---|
Entity Type | Organization |
Authorized Contact | KANITA ELIZABETH ALLEN President & CEO 949-421-7922 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 26567) |
Enumeration Date | 2011-02-02 |
Last Update Date | 2014-08-11 |