| NPI | 1083326367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERHANU KEBEDE BEDASSA Owner 213-249-6973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2024-04-08 |