| NPI | 1376469320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY BOWER Nurse Practitioner 818-437-3252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-06-24 |
| Last Update Date | 2026-06-24 |