| NPI | 1528577400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH VENDER Licensed Clinical Social Worker 310-975-5157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-09-23 |
| Last Update Date | 2019-10-01 |