| NPI | 1144840349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERMAINE JUNIUS Owner 323-605-6579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |