| NPI | 1770975914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH JAKUBANIS Clinical Director 818-804-0322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 28234) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: CA LCS 28234) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-02-25 |