| NPI | 1396485546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAISY ROSALES Owner 818-900-5146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-03-29 |