| NPI | 1124966528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN SNIPES Owner 213-827-3038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 103TC1900X Psychologist, Counseling | |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| Enumeration Date | 2026-03-24 |
| Last Update Date | 2026-06-16 |