| NPI | 1487001921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOI JOHNSON President 626-378-2053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2016-05-14 |
| Last Update Date | 2016-11-14 |