| NPI | 1114893294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MC GARY CASSEUS Mr 323-841-4532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| 106E00000X Assistant Behavior Analyst | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-10-15 |