| NPI | 1538938055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK BRUCE SHIREY Program Director 818-519-8334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-12-26 |
| Last Update Date | 2023-12-26 |