| NPI | 1275166472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER FANG HSIA Owner 626-540-2125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-02-16 |
| Last Update Date | 2020-04-01 |