| NPI | 1144769415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CAREY Marriage And Family Therapist 310-488-2863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 53086) |
| Enumeration Date | 2017-02-19 |
| Last Update Date | 2017-02-19 |