| NPI | 1659817062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK SHERMAN Owner 661-361-6465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2024-02-26 |