| NPI | 1811160716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT KROSE V.P. 818-843-7279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS8340, LCS481) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |