| NPI | 1104330570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES GRAYSON President 818-927-0688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A111804) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA A111804) |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: CA A111804) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A111804) | |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2020-02-04 |