| NPI | 1922402528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ALAN BAUM Therapist 323-445-4586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA LCSW 13512) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2014-10-10 |