| NPI | 1295290658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MCMANUS Owner 323-999-1537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-02-09 |
| Last Update Date | 2019-02-09 |