| NPI | 1669858452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE KENNINGTON President 818-370-6423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 25220) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |