| NPI | 1538647045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA M SHERVEY Managing Member 818-585-2760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2021-01-14 |