| NPI | 1962075200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAOBI JUDITH AFONTA CEO 818-743-2041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2021-07-23 |