| NPI | 1184903502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY SUE JOHNSON President 818-384-3115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 50181) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |