CODI BENOLOGA LICENSED CLINICAL SOCIAL WORKER INC

LONG BEACH, CA
NPI1578148805
Entity TypeOrganization
Authorized ContactCODI JO BENOLOGA
Owner/Director
480-221-4972
Organization Subpart ?No
Primary Taxonomy261Q00000X 
Enumeration Date2021-03-18
Last Update Date2021-03-18
Business Address
CODI BENOLOGA LICENSED CLINICAL SOCIAL WORKER INC
4195 N VIKING WAY STE 333
LONG BEACH, CA 90808-1466
Phone number: 562-568-9005
Mailing Address
CODI BENOLOGA LICENSED CLINICAL SOCIAL WORKER INC
4195 N VIKING WAY STE 333
LONG BEACH, CA 90808-1466
Phone number: 562-568-9005