| NPI | 1376770750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIK GUPTA Chief Executive Officer 818-895-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA 550000351) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550000351) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2010-07-10 |