| NPI | 1003159203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN S COX Operations Director 310-581-0590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA 44050) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: CA MFT 52930) |
| 251S00000X Community/Behavioral Health (Licence: CA MFT 77513) | |
| 251S00000X Community/Behavioral Health (Licence: CA BCBA 1-13-14270) | |
| 251S00000X Community/Behavioral Health (Licence: CA BCBA 1-10-6879) | |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2016-05-27 |