| NPI | 1316693138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANDREA KNIGHT Director 818-600-2086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2023-05-24 |