| NPI | 1992209654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM THOMAS JOSHUA JOHNSON CEO 562-999-4707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2023-12-04 |