NPI | 1033758065 |
---|---|
Entity Type | Organization |
Authorized Contact | GRACE CHANG Chief Executive Officer 213-787-7644 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-12-20 |
Last Update Date | 2020-11-12 |