| NPI | 1467527747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUESAN COLEMAN Psychiatric Social Worker 310-668-5059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 11812) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2023-09-06 |