| NPI | 1164549598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARAH FERRER CEO 818-854-6971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology Psychosomatic Medicine |
| Additional Taxonomies | 171W00000X Contractor |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2023-06-13 |