| NPI | 1275230823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDNEY MADUFORO Provider 626-633-2128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2023-02-14 |