NPI | 1770658460 |
---|---|
Entity Type | Organization |
Authorized Contact | J BUCKLEY Executive Assistant 818-244-7257 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA A037154) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2020-08-22 |