Ely Cole Raitt

NPI # 

Practice Address:

1018 E 33Rd St

Los Angeles, CA, 90011-2515

Practice Phone:

213-713-5921

License Number:

R1508070523

License State:

CA

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Behavior Technician

Taxonomy Code:

106S00000X