| NPI | 1215650387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY DAVIS Owner 323-377-0191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2023-01-19 |