| NPI | 1851128870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAGHAYEGH HABIBI CEO 818-307-6020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 261QP2400X Clinic/Center, Prison Health |
| Enumeration Date | 2024-09-14 |
| Last Update Date | 2024-09-14 |