| NPI | 1447782370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGIE ANN WILSON Owner 626-255-8926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103K00000X Behavior Analyst | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TH0004X Psychologist, Health | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106E00000X Assistant Behavior Analyst | |
| 106H00000X Marriage & Family Therapist | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 163WC0400X Registered Nurse, Case Management | |
| 167G00000X Licensed Psychiatric Technician | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |