NPI | 1790359990 |
---|---|
Entity Type | Organization |
Authorized Contact | CORRDERO TAYLOR Owner 310-956-8810 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
261QM0801X | |
Enumeration Date | 2021-05-13 |
Last Update Date | 2022-08-09 |