| NPI | 1942497771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA LINN ZARAZUA Mental Health Specialist Ii 310-877-0356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA IMFT 50803) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-26 |