| NPI | 1861112385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED MOOSA Managing Partner 818-913-8409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2022-09-06 |