| NPI | 1174882708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN DAVIES License Clinical Social Worker 310-803-5441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 9757) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |