LYSA K MAYBRUCK-HARRISON

LOS ANGELES, CA
NPI1306196613
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-09-13
Last Update Date2020-08-18
Business Address
Mrs. LYSA K MAYBRUCK-HARRISON CADC-II
8831 VENICE BLVD
LOS ANGELES, CA 90034-3223
Phone number: 310-204-5200
Mailing Address
Mrs. LYSA K MAYBRUCK-HARRISON CADC-II
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number: 310-679-9031