| NPI | 1043671845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLIN TONDA President 310-431-7532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA mfc49377) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |