| Individual, Couples And Family Therapy Inc. | |
|
10811 Washington Blvd Ste 301 Culver City CA 90232-3666 | |
| (310) 431-7532 | |
| Not Available |
| Full Name | Individual, Couples And Family Therapy Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10811 Washington Blvd Ste 301, Culver City, California |
| Authorized Official Name and Position | Caitlin Tonda (PRESIDENT) |
| Authorized Official Contact | 3104317532 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Individual, Couples And Family Therapy Inc. 10811 Washington Blvd Ste 301 Culver City CA 90232-3666 Ph: (310) 431-7532 | Individual, Couples And Family Therapy Inc. 10811 Washington Blvd Ste 301 Culver City CA 90232-3666 Ph: (310) 431-7532 |
| NPI Number | 1043671845 |
|---|---|
| Provider Enumeration Date | 03/08/2016 |
| Last Update Date | 03/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043671845 | NPI | - | NPPES |
| 1245523182 | Other | CA | INDIVIDUAL NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | MFC49377 (California) | Primary |
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