Borgardt Psychotherapy
Clinic/Center, Mental Health (Including Community Mental Health Center) in Santa Monica, CA. Organization (NPI-2).
NPI number1003656836
StatusActive
Last updated in NPPESMay 29, 2024
Details
- NPI
- 1003656836
- Entity type
- Organization (NPI-2)
- Legal business name
- Borgardt Psychotherapy
- Organization subpart
- No
- Enumeration date
- May 29, 2024
- Certification date
- May 20, 2024
- Last updated
- May 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- Borgardt Psychotherapy (Doing Business As)
Practice location
2801 Ocean Park Blvd Ste 346Santa Monica, CA 90405-2905
Phone 424-229-2122
Mailing address
2801 Ocean Park Blvd Ste 346Santa Monica, CA 90405-2905
Phone 424-229-2122
Authorized official
James Alfred Borgardt
Founder
4242292122
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