| NPI | 1609547215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS LAROY JOSEPH Executive Director/Therapist 310-279-5282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2023-03-27 |