| NPI | 1619569696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA SCHEIBLE Clinical Director 310-528-7281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103T00000X Psychologist | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC0700X Psychologist Clinical | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| 106E00000X Assistant Behavior Analyst | |
| 106H00000X Marriage & Family Therapist | |
| 106S00000X Behavior Technician | |
| 224Z00000X Occupational Therapy Assistant | |
| 224ZE0001X Occupational Therapy Assistant Environmental Modification | |
| 261QH0700X Clinic/Center Hearing and Speech | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QX0100X Clinic/Center Occupational Medicine | |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-02-10 |