| NPI | 1669298527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADILSON KIEFER Ap RN 818-736-8642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |