Organization Name: | LOS ANGELES FAMILY INSTITUTE |
NPI Number: | 1053666024 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER JAMES BATHUM (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 22287 Mulholland Hwy # 136 Calabasas |
State: | CA US |
Postal Code: | 913025157 |
Phone Number: | 8186359380 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2012 |
NPI Last Update Date: | 07/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0400X |
License Number: | BA33452 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |