| NPI | 1669352969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH ANNE FREIJO President 562-900-2391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-09-05 |