| NPI | 1215626049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRZAD JALALI BIDGOLI President And CEO 310-849-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-05-08 |