| NPI | 1871004192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY G. MADRIGAL Executive Director 714-504-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 24917) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2018-01-16 |