| NPI | 1730583881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL L MEYLAN Licensed Clinical Social Worker 310-795-8249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA 28422) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |