| NPI | 1255119780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIE SHEN Owner 310-993-2017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |