| NPI | 1356992051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRISA SAMUDIO Owner 310-879-5554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |