| NPI | 1265937296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL V CHAPPLE Chief Executive Officer 310-435-2458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA PSY27143) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA PSY27143) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |