| NPI | 1609466788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON REGINALD WASHINGTON Director Of Services/Social Worker 310-626-7649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 1041S0200X Social Worker, School | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2023-03-21 |