| NPI | 1841401072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS MONACO President 310-666-7952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 21425) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA 21425) |
| 103TH0100X Psychologist, Health Service (Licence: CA 21425) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA 21425) | |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2007-08-31 |