| NPI | 1043523632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BRUCE COHEN President 310-479-9065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: CA 15185) |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2010-07-23 |