| NPI | 1073112157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE FERNANDEZ Executive Director 323-793-3595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2022-12-05 |