NPI | 1770884470 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES THOMAS SHAFER President 949-929-7159 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy16647) |
Enumeration Date | 2010-11-11 |
Last Update Date | 2010-11-11 |