NPI | 1053006569 |
---|---|
Entity Type | Organization |
Authorized Contact | NATHAN YOUNG Manager 310-343-8684 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2023-04-10 |
Last Update Date | 2023-06-20 |