| NPI | 1750035945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVIVA MICHELLE WOLFSON Owner, President 818-689-6751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-08 |