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 |
261QH0100X Clinic/Center, Health Services | |
Enumeration Date | 2022-10-24 |
Last Update Date | 2024-02-09 |