| NPI | 1144590985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ELLEN SWIM Executive Director, Mft 40480 626-487-9305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 40480) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 172V00000X Community Health Worker (Licence: CA 40480) | |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2019-05-03 |