| NPI | 1134771447 |
|---|---|
| Other Name | MARY THOMAS |
| 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 | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |