| NPI | 1063970150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY ALLEN WALSTON President/CEO And Lead Clinican 818-825-4904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2021-12-15 |