| NPI | 1376047613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARAH SAFAEI Biller 818-570-3150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA LMFT83509) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |