| NPI | 1215596846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE FANALE Licensed Clinical Psychologist 818-442-3882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |