| NPI | 1982326740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN VICTORIA ZOMMICK President/Psych Nurse Practitioner 818-688-6826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2024-03-11 |