| NPI | 1912365651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE KNATZ PECK Chief Executive Officer,Psychologis 619-573-5073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA PSY26162) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |