| NPI | 1801059597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND JULES CHABOT Psychologist 714-972-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY41140) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |