| NPI | 1780134585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH CONKLIN Owner 818-296-7282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 11417703) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2017-01-17 |