| NPI | 1689534414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS MALDEN Owner 818-835-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-11-14 |
| Last Update Date | 2025-11-14 |