| NPI | 1124539333 |
|---|---|
| Doing Business As | JEG THERAPY, INC |
| Entity Type | Organization |
| Authorized Contact | JASON GILLARD President / Clinician 818-521-3867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 25769) |
| Enumeration Date | 2017-10-14 |
| Last Update Date | 2020-02-12 |