Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
KW MANAGEMENT ENTERPRISES, LLC
Active
Organization
KW MANAGEMENT ENTERPRISES, LLC
Active
Other names
Life Adjustment Team Advanced IOP Therapies
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDY PISKOULIAN (CEO)
(310) 572-7000
Entity
Organization
Contact information
Practice address
11936 JEFFERSON BLVD, SUITE E, CULVER CITY, CA 90230-6333
(310) 572-7000
(310) 642-5902
Mailing address
6101 W CENTINELA AVE, SUITE 375, CULVER CITY, CA 90230-6337
(310) 572-7000
(310) 642-5902
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MFC 41490
CA
101YM0800X
Mental Health Counselor
MFC 41490
CA
106H00000X
Marriage & Family Therapist
Primary
MFC 41490
CA
Other
Enumeration date
05/29/2013
Last updated
06/07/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers