| NPI | 1689813248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALIA BARACH Mental Health Counselor 818-445-5394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |