| NPI | 1508402363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN GALIPEAU President 818-508-0703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-27 |