| NPI | 1972053494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESE HAVILAND Director 310-316-1610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA PCCI2601) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |