Organization Name: | BICOUR LLC |
NPI Number: | 1033576566 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL LEE CASE (PRESIDENT / CEO) |
Mailing Address: | 35 S Peak Laguna Niguel |
State: | CA US |
Postal Code: | 926772903 |
Phone Number: | 4806124294 |
Fax Number: | 4803836983 |
NPI Enumeration Date: | 01/28/2016 |
NPI Last Update Date: | 01/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |