| NPI | 1710102009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIK GUPTA Chief Executive Officer 818-895-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA 960001162) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: CA 960001162) |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 960001162) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2011-03-21 |