NPI | 1215972062 |
---|---|
Entity Type | Organization |
Authorized Contact | ANATOLY POSTOLOV President 818-501-4838 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: CA A72516) |
Enumeration Date | 2006-06-17 |
Last Update Date | 2008-12-15 |