| NPI | 1730917675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTA PAYNE Owner/Clinician 818-442-9055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-07-23 |