| NPI | 1467830034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANTHONY BERADINO Licensed Clinical Psychologist 310-500-6862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA PSY27226) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |