| NPI | 1790460087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO ALBERTO ESTRELLA CFO 951-271-0397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0500X Specialist/Technologist, Other, EEG |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2025-10-02 |