| NPI | 1407599764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LANCASTER Owner 818-877-4647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2022-04-15 |