| NPI | 1871938803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILOU CANADA ROSAS Medical Director 951-506-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA A97944) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-05-03 |