| NPI | 1356892947 |
|---|---|
| Doing Business As | I.E. THERAPY CLINIC |
| Entity Type | Organization |
| Authorized Contact | LIWAYWAY JOHNSON VP 562-303-7607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |