| NPI | 1528372125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASTRIK DAVTIAN Clinical Director 818-240-0108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 21838) |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2010-08-06 |