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