| NPI | 1003527037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN YOUNG Manager 310-343-8684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2023-03-17 |