Provider First Line Business Practice Location Address:
21263 ERWIN ST
Provider Second Line Business Practice Location Address:
PSYCHIATRY DEPARTMENT
Provider Business Practice Location Address City Name:
WOODLAND HILLS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91367
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-592-3195
Provider Business Practice Location Address Fax Number:
212-420-4332
Provider Enumeration Date:
03/30/2011