| NPI | 1568078061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY FRAN DATNOW Owner/Psychotherapist 310-990-0307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-09-20 |
| Last Update Date | 2020-10-22 |