NPI | 1639316029 |
---|---|
Doing Business As | LEAFWING CENTER |
Entity Type | Organization |
Authorized Contact | JOHN R LUBBERS Executive Director 818-442-0921 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA BCBA1-01-0404) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC50185) |
Enumeration Date | 2009-01-07 |
Last Update Date | 2011-09-08 |