| NPI | 1245865237 |
|---|---|
| Doing Business As | YOUTH CONTACT WILL ROG HS |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY RYDER President 818-901-4830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-16 |