| NPI | 1962844993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY GARCIA EGAN Owner 818-531-5507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA LCS13585) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-18 |