| NPI | 1659639979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA CLAIRE GULSRUD Psychologist 310-825-0575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: CA PSY 24771) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-09-19 |