| NPI | 1669851432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA G SOMDAL Director 818-571-4293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA LCS21161) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |