| NPI | 1245724160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA R JACKSON ZENO Medical Billing Project COO Rdinator 213-760-4630 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 106H00000X Marriage & Family Therapist | |
| 172V00000X Community Health Worker | |
| 251S00000X Community/Behavioral Health | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2025-07-07 |