| 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 |