| NPI | 1255547022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARLENE SUSAN THARPE CEO 310-704-7561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS20063) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2016-05-06 |