| NPI | 1710398250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYATTA CHATEAU Clinical Social Worker/ Manager 818-606-9836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: CA LCS 23309) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: CA LCS 23309) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-11-05 |