| NPI | 1356613210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMERA BENEDICT Chief Operating Officer 562-498-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA LCS27670) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS19542) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC43055) | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY19703) | |
| 1041C0700X Social Worker, Clinical (Licence: CA LCS18360) | |
| 1041C0700X Social Worker, Clinical (Licence: CA LCS25775) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC46641) | |
| 1041C0700X Social Worker, Clinical (Licence: CA LCS21429) | |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2014-06-06 |