NPI | 1831681600 |
---|---|
Entity Type | Organization |
Authorized Contact | NATASHA KNOFF Practice Manager 213-222-5079 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
106H00000X Marriage & Family Therapist (Licence: IL 166.001114) | |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2018-06-06 |
Last Update Date | 2019-05-02 |