| NPI | 1033245089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARRIETTA MASHAY SCOTT Rehabilitation Coordinator 310-858-5379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |