| NPI | 1982989950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALIK MUHAMMAD Owner 619-218-4637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: NC 4438) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 4091) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2018-06-07 |