| NPI | 1215640420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA WYNER CEO 818-533-2319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist Clinical | |
| 103TF0000X Psychologist Family | |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-03-02 |