| NPI | 1841504552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL KLEPETAR President 818-996-7728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA LCS17594) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-08-05 |