| NPI | 1215059134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRVING DACRE CROSHIER Director 818-710-1266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA MFC 5616) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2014-01-24 |