| NPI | 1205207578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN ABRAHAM Administrative Director 818-308-8226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 1-15-19807) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |