| NPI | 1295967727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA LEE HAUSER Owner 818-620-5826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA LCS21904) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2014-05-05 |