| NPI | 1659846871 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SHEILA M SHERVEY Managing Member 818-585-2760  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2018-10-04 | 
| Last Update Date | 2019-05-23 |