NPI | 1568123636 |
---|---|
Entity Type | Organization |
Authorized Contact | MILLICENT PITTS Owner 661-748-1633 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2021-12-31 |
Last Update Date | 2022-02-08 |