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