| NPI | 1831748581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARIE RUSSO Clinical Director 818-646-9229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2024-01-17 |