| NPI | 1023757275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM MALKIN Provider 818-839-7556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2022-09-13 |