| NPI | 1528696507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY ANNE GUTENSOHN Mental Health Therapist 310-564-6749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |