Provider Demographics
NPI:1649675091
Name:THE INSTITUTE FOR PROFESSIONAL PARENTING
Entity type:Organization
Organization Name:THE INSTITUTE FOR PROFESSIONAL PARENTING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIS LAWE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:818-891-8477
Mailing Address - Street 1:15650 DEVONSHIRE ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-7241
Mailing Address - Country:US
Mailing Address - Phone:818-891-8477
Mailing Address - Fax:
Practice Address - Street 1:15650 DEVONSHIRE ST
Practice Address - Street 2:SUITE 210
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-7241
Practice Address - Country:US
Practice Address - Phone:818-891-8477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-28
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health