| 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 |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-12-31 |
| Last Update Date | 2022-02-08 |