| NPI | 1245789940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM P. BOEHM Owner 310-837-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA C2894551) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |