| NPI | 1871324046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY RYAN KOZLOWSKI Senior Director Of Mental Health Se 661-418-2871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2026-05-22 |