| NPI | 1144031063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AAREON MOORE CEO 323-219-5867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-04-28 |