| NPI | 1548663800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY KOVACS BEVINGTON Marriage & Family Therapist 310-226-2826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 53455) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |