| NPI | 1326586629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL PIERRELOUIS Owner/Tcm/Clinical Supervisor 310-292-2830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL 1487105227) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |