| NPI | 1023547981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYCE MCDAVITT Owner 323-801-8123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA PSY28942) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2024-10-21 |