| NPI | 1265247548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA LYNN EVERETT CEO 310-357-0411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-12 |