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Organization
THE GIRLS' EMPOWERMENT CENTER
Active
Organization
THE GIRLS' EMPOWERMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN DORIS BUCKLEY MS MFT (CLINICAL SUPERVISOR)
(805) 341-5735
Entity
Organization
Contact information
Practice address
143 TRIUNFO CANYON RD, SUITE 201, WESTLAKE VILLAGE, CA 91361-2514
(805) 341-5735
Mailing address
143 TRIUNFO CANYON RD, SUITE 201, WESTLAKE VILLAGE, CA 91361-2514
(805) 341-5735
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
30759
CA
251S00000X
Community/Behavioral Health Agency
50015
CA
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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