| NPI | 1053467548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELDON BRACKETT CEO 310-436-8920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2025-04-30 |