| NPI | 1902209992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYANE BEGOYAN Medical Doctor 818-240-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA A113904) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA A113904) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-10-03 |