Educational and Developmental Therapies
NPI #1417378704 in Santa Monica, California
Provider Information
- NPI Number
- 1417378704
- Entity Type
- Organization
- Organization Name
- Educational and Developmental Therapies
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- EDI & DATABASE TECHNOLOGIES, INC.
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jan 3, 2014
- Last Updated
- Jan 3, 2014
Practice Location
- Address
- 2249 20TH ST
- Address 2
- SUITE 101
- City
- Santa Monica
- State
- California
- ZIP Code
- 90405-1742
- Phone
- (310) 450-8004
Authorized Official
- Name
- MR. MAXWELL RANEY BROOKS
- Title
- CEO/PRESIDENT
- Phone
- (310) 450-8004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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