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Organization
AIM FOR BREAKTHROUGH
Active
Organization
AIM FOR BREAKTHROUGH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY DAVIDHEISER PHD (OWNER/LICENSED PSYCHOLOGIST)
(818) 985-1211
Entity
Organization
Contact information
Practice address
15335 MORRISON ST, SUITE 315, SHERMAN OAKS, CA 91403-1513
(818) 985-1211
Mailing address
15335 MORRISON ST, SUITE 315, SHERMAN OAKS, CA 91403-1513
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
PSY22815
CA
Other
Enumeration date
09/17/2016
Last updated
09/17/2016
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