| NPI | 1598482184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA TENNYSON CEO 626-469-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2024-02-09 |