| NPI | 1134008303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEZRYL CELIZ Owner 323-203-7694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 363LC1500X Nurse Practitioner, Community Health | |
| Enumeration Date | 2025-09-01 |
| Last Update Date | 2025-09-01 |