Organization · NPI-2

1404 Family Center

Counselor, Mental Health · Torrance, CA

NPI number1639606221
StatusActive
Last updated in NPPESMay 15, 2017

Details

NPI
1639606221
Entity type
Organization (NPI-2)
Legal business name
1404 Family Center
Organization subpart
No
Enumeration date
May 15, 2017
Last updated
May 15, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthLCSW70063CAYes

Practice location

24050 Madison St Ste 200
Torrance, CA 90505-6016

Phone 310-291-9997

Mailing address

508 S Pacific Coast Hwy
Redondo Beach, CA 90277-4219

Phone 310-291-9997

Authorized official

Cynthia Soria
Owner
3102919997

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