| NPI | 1033137724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAJA I IBRAHEEM Md Owner 562-637-3143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA A66124) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |