| NPI | 1114686839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENESIS ESPINOZA CEO 818-472-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2021-12-09 |