| NPI | 1467888339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA JOY MARCHAND Owner 310-955-1328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY 25492) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |