| NPI | 1063242469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA CULBERTSON Executive Director 323-819-0962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-01 |