| NPI | 1477312403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN DODD Executive Clinical Director 818-843-4883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-03-13 |