| NPI | 1407605546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA POTTHOFF CEO 310-925-3357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-05-13 |