| NPI | 1255797163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY LOPEZ Owner/ CEO 818-501-3512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |