| NPI | 1760936835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN J EATON CEO/Owner 714-730-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY15533) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY15533) |
| 103TC1900X Psychologist, Counseling (Licence: CA PSY15533) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY15533) | |
| Enumeration Date | 2016-08-06 |
| Last Update Date | 2016-08-06 |