| NPI | 1891370896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LORENTZEN Co Owner 818-523-4628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2024-01-25 |