| NPI | 1841656824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA FAUNE YVETTE GORDON Clinical Psychologist 310-349-1927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY14560) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |