| NPI | 1720315948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDRA LANGLEY Director 310-794-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2014-10-16 |