NPI | 1962563775 |
---|---|
Doing Business As | CROSSROADS PSYCHOTHERAPY GROUP |
Entity Type | Organization |
Authorized Contact | DEBORAH GWEN MATHER Psychologist 714-229-9900 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY17113) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2020-08-22 |