| NPI | 1275343857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRIX SIBYLLE WAGNER Clinical Psychologist/CEO 310-995-7427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-01-07 |