| NPI | 1033482633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN L. WILLIAMS Owner/President 310-271-7885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: CA PSY7566) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |