NPI | 1295487916 |
---|---|
Entity Type | Organization |
Authorized Contact | JONNAE LUCK Owner/Therapist 562-746-5150 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
Enumeration Date | 2022-01-24 |
Last Update Date | 2022-01-24 |