| NPI | 1912330853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ENYEDY Director Of Intern Training 818-782-5179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |