NPI | 1164158218 |
---|---|
Former Legal Business Name | SGVGRTC |
Entity Type | Organization |
Authorized Contact | JASON NYHAN Executive Director 310-405-3405 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional | |
102X00000X Poetry Therapist | |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical | |
172V00000X Community Health Worker | |
225XM0800X Occupational Therapist, Mental Health | |
Enumeration Date | 2022-07-29 |
Last Update Date | 2022-07-29 |