| NPI | 1770105595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ROY CEO 818-691-2591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-14 |