| NPI | 1134853864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI RUBIN Owner 310-933-4198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-07-09 |
| Last Update Date | 2022-07-09 |