| NPI | 1740670835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG EDWARD WEST President 530-751-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY17789) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA PSY17789) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-01-28 |