| NPI | 1043730823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS ALEJANDRO NAGY Owner 626-384-7421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2018-11-02 |