| 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 |