| NPI | 1326859562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MESHYLLE MARTIN-FERIDO Nurse Practitioner 818-325-7147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-02-06 |