| NPI | 1265319958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANICA TRINIDAD CEO 818-651-8164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-08-16 |
| Last Update Date | 2025-08-21 |