| NPI | 1831473933 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | STACEY MACFARLANE CEO 310-482-0084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2012-06-18 |