| Educational And Developmental Therapies | |
|
2249 20th St Suite 101 Santa Monica CA 90405-1742 | |
| (310) 450-8004 | |
| (310) 450-8004 |
| Full Name | Educational And Developmental Therapies |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2249 20th St, Santa Monica, California |
| Authorized Official Name and Position | Maxwell Raney Brooks (CEO/PRESIDENT) |
| Authorized Official Contact | 3104508004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Educational And Developmental Therapies 2249 20th St Suite 101 Santa Monica CA 90405-1742 Ph: (310) 450-8004 | Educational And Developmental Therapies 2249 20th St Suite 101 Santa Monica CA 90405-1742 Ph: (310) 450-8004 |
| NPI Number | 1417378704 |
|---|---|
| Provider Enumeration Date | 01/03/2014 |
| Last Update Date | 01/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417378704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 093343 (California) | Primary |
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