NPI | 1477829786 |
---|---|
Entity Type | Organization |
Authorized Contact | KEARNEY N VISSER Director Of Behavior Intervention 310-409-5463 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY23855) |
Enumeration Date | 2012-03-30 |
Last Update Date | 2012-03-30 |