| NPI | 1629639794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSIE YOUSSEF Licensed Clinical Social Worker 562-895-1767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |