| NPI | 1376922328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIYUME MCKINLEY Owner 424-570-6955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW64555) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2016-10-04 |