| NPI | 1013751957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIUGO OKONKWO Nurse Practitioner 310-531-6759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-06-25 |