| NPI | 1265246821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAKOTA K GRIPP CEO 562-544-8411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-06-11 |