NPI | 1902024086 |
---|---|
Entity Type | Organization |
Authorized Contact | GERARDO HORISCHNIK Director 310-451-8180 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
103TA0700X Psychologist, Adult Development & Aging | |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TC0700X Psychologist, Clinical | |
103TC1900X Psychologist, Counseling | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2007-04-23 |
Last Update Date | 2020-08-22 |