| NPI | 1306116108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK SAMUEL KNIGHT Clinical Supervisor 818-939-5324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 39923) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |