| NPI | 1225831670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE CAROLE BOULWARE Owner 626-506-6265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-03-31 |