| NPI | 1750749784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIN BENNETT Clinical Director 310-288-1718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT47879) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |