| NPI | 1801821830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK W. BAKER President 626-351-9616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY9219) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-10-16 |