| NPI | 1821056557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI WHITE Owner 805-934-8421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103TF0200X Psychologist Forensic |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103T00000X Psychologist | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-08-22 |