| NPI | 1215442785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZETTE BRAY CEO 818-856-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |