| NPI | 1619394830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY JOSEPH LEIKEN President 818-783-0908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA G7019) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-26 |