| NPI | 1134771447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY HANDY Medical Director 562-310-9215 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| 251S00000X Community/Behavioral Health | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |