| NPI | 1760061691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSCELLE J MINOZA President 818-388-2991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2023-03-01 |