Organization
REACHING THE STARS CENTER FOR AUTISM,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK SAMUEL KNIGHT MFT (CLINICAL SUPERVISOR)
(818) 939-5324
Entity
Organization
Contact information
Practice address
5105 HEATHROW BLVD, BRENTWOOD, TN 37027-6538
(818) 939-5324
Mailing address
4607 LAKEVIEW CANYON RD, WESTLAKE VILLAGE, CA 91361-4028
(818) 939-5324
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
39923
CA
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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