NPI | 1689088569 |
---|---|
Entity Type | Organization |
Authorized Contact | BEATIX SIBYLLE WAGNER Executive Director 310-995-7427 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: TX 36904) |
Additional Taxonomies | 251S00000X (Licence: CA psy23746) |
Enumeration Date | 2014-06-18 |
Last Update Date | 2015-09-03 |