| NPI | 1780836809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HENRY FOUST Clinical Psychologist 714-834-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY6432) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2020-12-08 |