| NPI | 1225408065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE PHILLIPS Supervisor 818-901-4836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA IMF88499) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |