| NPI | 1225339872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN R KIMMEL Clinical Director 323-447-8372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS11387) |
| Enumeration Date | 2010-11-14 |
| Last Update Date | 2012-11-01 |