NPI | 1548507775 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN Y LEE CEO 818-631-8349 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 25158) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA 25158) |
Enumeration Date | 2013-01-08 |
Last Update Date | 2013-07-01 |