| NPI | 1124691365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENALDO R. MOODIE Clinical Director 818-351-6937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2022-09-29 |