Organization · NPI-2
Affinity Health Psychological Corporation
Community/Behavioral Health · Woodland Hills, CA
NPI number1104422997
StatusActive
Last updated in NPPESDec 8, 2020
Details
- NPI
- 1104422997
- Entity type
- Organization (NPI-2)
- Legal business name
- Affinity Health Psychological Corporation
- Organization subpart
- No
- Enumeration date
- Dec 8, 2020
- Certification date
- Dec 8, 2020
- Last updated
- Dec 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
21900 Burbank Blvd Ste 300Woodland Hills, CA 91367-7418
Phone 805-267-9531
Mailing address
Po Box 57064Sherman Oaks, CA 91413-2064
Phone 805-267-9531
Authorized official
Jenna Metellus
Ceo
8052679531
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