| NPI | 1083799969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD FRIDLEY Director 310-373-6359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA Psy4440) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |