| NPI | 1033966940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSE PRUSINSKI Owner/Provider 310-266-5044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-04-30 |