| NPI | 1063379824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAM KAMURASI MAJUGO Owner 818-482-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-01-05 |
| Last Update Date | 2026-01-06 |