| NPI | 1386506988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS KUECHENBERG C.O.O. 818-918-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-12-02 |
| Last Update Date | 2025-12-02 |