NPI | 1295888055 |
---|---|
Entity Type | Organization |
Authorized Contact | ARTHUR MALIN President 310-274-2349 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS524) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC1818) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G1611) | |
Enumeration Date | 2007-01-18 |
Last Update Date | 2009-01-22 |