| NPI | 1396210373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN DOUGLAS MITCHELL Nurse Practitioner 818-239-9586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251S00000X |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2019-04-10 |