| NPI | 1154746170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA C GREEN CEO 310-378-2520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFT35443) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |