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 | 106H00000X Marriage & Family Therapist |
171400000X Health & Wellness Coach | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
Enumeration Date | 2023-06-15 |
Last Update Date | 2024-10-14 |