| NPI | 1720538887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI A TANFERANI Clinical Director 818-570-0337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY22296) |
| Additional Taxonomies | 251B00000X Case Management (Licence: CA PSY22296) |
| 251S00000X Community/Behavioral Health (Licence: CA PSY22296) | |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |