| NPI | 1730556986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH JAKUBANIS Director 818-804-0322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA IMF79358) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |