| NPI | 1477824951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK DEAN CRAWFORD Secretary / Treasurer 310-890-4059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY 23309) |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2012-01-16 |