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Organization
ENRICHED LIFE THERAPY CENTER
Active
Organization
ENRICHED LIFE THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE CHAE LCSW (DIRECTOR)
(213) 441-6780
Entity
Organization
Contact information
Practice address
4221 WILSHIRE BLVD STE 290-26, LOS ANGELES, CA 90010-3540
(213) 441-6780
Mailing address
4221 WILSHIRE BLVD STE 290-26, LOS ANGELES, CA 90010-3540
(213) 441-6780
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
28582
CA
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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