NPI | 1093108029 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY C. NEEDHAM Licensed Psychologist 323-686-2584 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI PSY-1508) |
Enumeration Date | 2015-03-16 |
Last Update Date | 2015-03-16 |