| NPI | 1659122885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLY KAY BOROVICH KNUTSON Licensed Clinical Social Worker 626-884-7789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-27 |