| NPI | 1003767815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT AIELLO CEO 323-608-0401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2026-02-06 |
| Last Update Date | 2026-02-06 |