| NPI | 1124718853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE DAVIS CEO 310-383-0062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-05-08 |