| NPI | 1619693256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGED BOTROS CEO 818-342-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2025-06-04 |