# KW MANAGEMENT ENTERPRISES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Life Adjustment Team Advanced IOP Therapies
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770920860
- **Authorized official:** MR. ANDY PISKOULIAN (CEO)
- **Authorized official phone:** (310) 572-7000

## Contact information

- **Practice address:** 11936 JEFFERSON BLVD, SUITE E, CULVER CITY, CA 90230-6333
- **Practice address phone:** (310) 572-7000
- **Practice address fax:** (310) 642-5902
- **Mailing address:** 6101 W CENTINELA AVE, SUITE 375, CULVER CITY, CA 90230-6337
- **Mailing address phone:** (310) 572-7000
- **Mailing address fax:** (310) 642-5902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | MFC 41490 | CA | — |
| 101YM0800X | Mental Health Counselor | MFC 41490 | CA | — |
| 106H00000X | Marriage & Family Therapist | MFC 41490 | CA | Yes |

## Other

- **Enumeration date:** 05/29/2013
- **Last updated:** 06/07/2013