Organization
FURTHER BEHAVIORAL HEALTH GROUP INC, A PSYCHOLOGY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN GRANAS (ADMINISTRATOR)
(408) 836-0636
Entity
Organization
Contact information
Practice address
1849 SAWTELLE BLVD STE 610, LOS ANGELES, CA 90025-7013
(408) 836-0636
Mailing address
1849 SAWTELLE BLVD STE 610, LOS ANGELES, CA 90025-7013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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