| NPI | 1336894922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH GRACE MALLOY Care Manager And Counselor 310-362-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-02-13 |
| Last Update Date | 2022-02-13 |