NPI | 1073127320 |
---|---|
Entity Type | Organization |
Authorized Contact | RONIT FARZAM Ph D 310-991-9616 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-09-03 |
Last Update Date | 2020-10-31 |