| NPI | 1083505861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN PETERSON CEO 310-266-3774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-12-26 |