Organization
REACHING THE STARS CENTER FOR AUTISM,INC
Active
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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