| NPI | 1992018469 |
|---|---|
| Former Legal Business Name | BEACHSIDE THERAPY AND ASSESSMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | KERRY O'REILLY CEO 310-463-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2024-06-21 |