| NPI | 1225374069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCELYN MANZANO Hr 310-337-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 171m00000X) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA 171M00000X) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |