| NPI | 1174499230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL MOSS Owner 310-880-1737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-10-15 |