| NPI | 1023738739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDICE GRAY CEO/Co Founder, Lcsw 310-654-7485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2022-09-01 |