| NPI | 1528703113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANI IFIKTCHYAN President 818-669-2037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-04-28 |