| 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 |