| NPI | 1669002614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MENANNO Owner 818-456-9012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |