NPI | 1609068782 |
---|---|
Doing Business As | MOONSTONE CENTER |
Entity Type | Organization |
Authorized Contact | ELISABETH R CRIM CEO, Psychologist 310-371-2800 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA PSY17770) |
Enumeration Date | 2007-08-13 |
Last Update Date | 2007-08-13 |