| NPI | 1851845572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA RISHWAIN Licensed Clinical Social Worker 818-788-0577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA LCS17869) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |