| NPI | 1316145550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINA SHUHAIBAR President 626-905-6178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: CA A53782) |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: CA A53782) |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: CA A53782) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-09-07 |