| NPI | 1174762058 |
|---|---|
| Other Name | MARK FAIRFIELD, LCSW, BCD |
| Entity Type | Organization |
| Authorized Contact | MARK FAIRFIELD President/CEO 310-339-0609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA LCS19969) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |