| NPI | 1093257107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM BENJAMIN BERNSEIN COO 818-416-8977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 89332) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-09 |