| 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 |