| NPI | 1811431380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD BRIAN BROOKS President 805-962-0266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY8974) |
| Enumeration Date | 2016-12-18 |
| Last Update Date | 2016-12-18 |