| NPI | 1639313562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARITA WISNIA Owner 818-990-5906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY13323) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-04-22 |