| NPI | 1235972308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M CHILDS COO 626-249-3358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-17 |