| NPI | 1730889817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH D JACOBS Clinical Director 818-571-2285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103T00000X Psychologist | |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-03-26 |