| NPI | 1134375983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN CREDIDIO Director 310-376-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY10441) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |