| NPI | 1477809291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT T DORRIS President Of The Board Of Directors 818-216-4183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 190049AN) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |