| NPI | 1558141705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF WILLIAM HONSBERGER Accounting Manager 818-717-1025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-04 |