| NPI | 1043086945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA-ELISE W CHILDS Chief Executive Officer 626-765-5308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2023-11-30 |