| NPI | 1396076147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM SORG Director Of Information Technology 818-996-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2020-12-22 |