| NPI | 1578827135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA MARASOVICH President 310-320-5856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA MF18207) |
| Additional Taxonomies | 251S00000X (Licence: CA 1-10-6948 BCBA) |
| 251S00000X (Licence: CA 1-07-3344 BCBA) | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |