NPI | 1194413575 |
---|---|
Doing Business As | CUSTOM LIFE SOLUTIONS |
Entity Type | Organization |
Authorized Contact | CHARLES WALKER Owner/ Licensed Therapist 562-454-1028 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-04-25 |
Last Update Date | 2023-04-25 |