| NPI | 1114864527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA JONES Program Director 310-910-0230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 106E00000X Assistant Behavior Analyst | |
| Enumeration Date | 2026-05-02 |
| Last Update Date | 2026-05-02 |