| NPI | 1235795824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA C PARKER President,CEO 323-252-4569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251S00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2019-05-19 |
| Last Update Date | 2020-08-19 |