| NPI | 1588199632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODIE R SCHAEFER President, Chief Operating Officer 818-222-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2023-07-01 |