| NPI | 1881623080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY A LONGWITH CEO/Clinical Psychologist 661-327-4252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA PSY18868) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY18868) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY18868) | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY18868) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY18868) | |
| 103TF0000X Psychologist, Family (Licence: CA PSY18868) | |
| 103TF0200X Psychologist, Forensic (Licence: CA PSY18868) | |
| 103TH0100X Psychologist, Health Service (Licence: CA PSY18868) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY18868) | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 1041C0700X Social Worker, Clinical (Licence: CA PSY18868) | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2024-05-30 |