| NPI | 1306625611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY LACHELLE SMITH Counselor 562-743-8166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2023-09-26 |