| NPI | 1306706049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVARO PROSPERO BALLESTEROS Chief Executive Officer 323-201-4516 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-11-14 |
| Last Update Date | 2026-05-04 |