NPI | 1891787644 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT WINSTON BENNETT C.E.O. 916-556-4178 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY17517) |
Enumeration Date | 2005-08-18 |
Last Update Date | 2007-08-09 |