| NPI | 1891562922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FABIOLA PAIVA CEO 818-932-5190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2024-05-13 |