| NPI | 1255710281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA BARNETT Owner 818-754-4644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA LCS18037) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |