| NPI | 1386204386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANNE SHOUSE Clinical Psychologist/CEO 818-429-3707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-06-20 |