| NPI | 1073951216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT SENELLA President/ Chief Executive Officer 818-654-3815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QP2300X Clinic/Center Primary Care | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2022-02-28 |