| NPI | 1053677211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARD SHMULIK ALTERSON Director 818-360-5564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 0000028697-0001-3) |
| Additional Taxonomies | 251B00000X Case Management (Licence: CA 0000028697-0001-3) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2019-04-01 |