| NPI | 1205467826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DASOR KIM Office Manager 323-935-0960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-02-02 |
| Last Update Date | 2020-02-02 |