| NPI | 1760922991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | URVI NATHA Clinical Director/CEO 310-944-1058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY27868) |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2019-07-24 |