| NPI | 1063261162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN GANICK Director 213-632-9647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-05-13 |