| NPI | 1841441938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE GREEN Vice President 619-281-0616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY4422) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY4696) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |