| NPI | 1104455062 |
|---|---|
| Doing Business As | KATY MCGUIRE |
| Entity Type | Organization |
| Authorized Contact | KATY MCGUIRE Owner 310-686-7976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2022-06-15 |