Organization · NPI-2

Child Parent Connection, A Family Therapy Corporation

Clinic/Center, Mental Health (Including Community Mental Health Center) · Redondo Beach, CA

NPI number1780167254

StatusActive

Last updated in NPPESSep 11, 2018

Details

NPI: 1780167254
Entity type: Organization (NPI-2)
Legal business name: Child Parent Connection, A Family Therapy Corporation
Organization subpart: No
Enumeration date: Sep 11, 2018
Last updated: Sep 11, 2018

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–	Yes
261QM0850X	Clinic/Center, Adult Mental Health	–	–
261QM0855X	Clinic/Center, Adolescent and Children Mental Health	–	–

Practice location

1801 S Catalina Ave Ste 306
Redondo Beach, CA 90277-5513

Phone 424-216-9600

Mailing address

1801 S Catalina Ave Ste 306
Redondo Beach, CA 90277-5513

Phone 424-216-9600

Authorized official

Bryana Rochelle Kappdakunnel
Owner/Director
4242169600

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.