| NPI | 1750016390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSHA WOODS CEO 818-809-0991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2022-08-15 |