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Organization
EDUCATIONAL AND DEVELOPMENTAL THERAPIES
Active
Organization
EDUCATIONAL AND DEVELOPMENTAL THERAPIES
Active
Parent organization
EDI & DATABASE TECHNOLOGIES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDI & DATABASE TECHNOLOGIES, INC.
Authorized official
MR. MAXWELL RANEY BROOKS (CEO/PRESIDENT)
(310) 450-8004
Entity
Organization
Contact information
Practice address
2249 20TH ST, SUITE 101, SANTA MONICA, CA 90405-1742
(310) 450-8004
(310) 450-8004
Mailing address
2249 20TH ST, SUITE 101, SANTA MONICA, CA 90405-1742
(310) 450-8004
(310) 450-8004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
093343
CA
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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