| NPI | 1619107729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS UNDERWOOD PORTER Executive Director/Psychologist 818-704-1327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA PSY15749) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |