| NPI | 1215522198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE DUONG Owner 323-708-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-03-03 |