| NPI | 1467864587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEKESIA JACKSON President/Psychologist 310-619-4699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA psy24698) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |