| NPI | 1407469190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNA BABAYAN CEO 818-231-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2021-12-17 |