| NPI | 1932450889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W SUMMERLIN President 949-677-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY28000) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2024-05-30 |