| NPI | 1053189936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA BREWER KOO Medical Director 310-318-2566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2023-12-19 |