| NPI | 1285182378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY DAVIDHEISER Owner/Licensed Psychologist 818-985-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA PSY22815) |
| Enumeration Date | 2016-09-17 |
| Last Update Date | 2016-09-17 |