| NPI | 1942600606 |
|---|---|
| Doing Business As | KAINOS CHRISTIAN THERAPY |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY D LONG Clinic Director 310-203-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 47459) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC1152) |
| Enumeration Date | 2014-09-01 |
| Last Update Date | 2014-09-01 |