| NPI | 1962853523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORNELLA GONZALES Clinical Psychologist 818-900-4167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY27652) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-06-24 |