| NPI | 1073358388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA LEONIE BARNES Owner 213-631-0730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-06-27 |