NPI | 1003590357 |
---|---|
Entity Type | Organization |
Authorized Contact | CARI TERAN Chief Executive Officer 818-275-2227 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
208000000X Pediatrics | |
Enumeration Date | 2023-06-14 |
Last Update Date | 2024-01-23 |