NPI | 1033982244 |
---|---|
Entity Type | Organization |
Authorized Contact | KRYSTLE GAIL HERBERT CEO/Owner 310-968-2364 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2023-10-31 |
Last Update Date | 2023-10-31 |