| NPI | 1053449900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA ANDRADE Billing Manager 213-481-7464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA 000067216200010) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2023-08-15 |