| NPI | 1407596240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH LOPETEGUY-HOFFMAN Owner 661-412-4291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2022-03-30 |