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 |