| 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 |