| NPI | 1245756956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCKY J. LEWIS Owner 818-577-9751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA MFC45808) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2022-07-21 |