NPI | 1598251233 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH GUSTAFSON Clinical Psychologist, President 323-963-3335 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2018-07-05 |
Last Update Date | 2018-07-05 |