| NPI | 1184960478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA RUTH KRISHUN President 310-530-9475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 5239511) |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2012-12-14 |