| NPI | 1740973791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD DE ANDA CEO & Psychologist 619-754-1928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2024-07-09 |