NPI | 1225563810 |
---|---|
Entity Type | Organization |
Authorized Contact | NATALIA LORENA BOUCHER Psychotherapist 310-435-7883 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA 99323) |
Enumeration Date | 2017-04-21 |
Last Update Date | 2017-04-21 |