| NPI | 1700164852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALIN PETROSSIAN Owner/Director 818-951-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA N/A) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2011-07-22 |