| NPI | 1467093591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL KAUSHANSKY Clinical Psychologist 310-498-5224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |