| NPI | 1043060767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM BAKALY Chief Executive Officer 310-374-3426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251B00000X Case Management |
| 253Z00000X In Home Supportive Care | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |