| NPI | 1841779154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA CAROL LINDLEY Billing Dept 951-652-0308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA psy24538) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |