| NPI | 1730547266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN DENISE MITCHELL Licensed Clinical Psychologist 951-536-3682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 05644) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-03-21 |