| NPI | 1306990577 |
|---|---|
| Former Legal Business Name | WILSHIRE VALLEY THERAPY CENTERS |
| Entity Type | Organization |
| Authorized Contact | KATRINA WOOD Director 818-906-0406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA Psy 17362) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2012-07-19 |