| NPI | 1689086084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRIE BAILEY Owner 818-888-8299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA Ac8338) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |