| 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 |