Organization
GUIDING OUR YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARAL PUSHIAN SULTANIAN PHD, LMFT (HEAD OF SERVICE)
(805) 296-8677
Entity
Organization
Contact information
Practice address
1672 CASARIN AVE, SIMI VALLEY, CA 93065-4515
(805) 522-4891
Mailing address
1197 E LOS ANGELES AVE # C-338, SIMI VALLEY, CA 93065-2868
(818) 395-0892
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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