| NPI | 1770616310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN MALTESE Executive Director 818-888-4559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2021-11-30 |