| NPI | 1346872728 |
|---|---|
| Other Name | WELLNEST ISM BOYLE HEIGHTS |
| Entity Type | Organization |
| Authorized Contact | LISA HIRSCHMARIN Chief Operating Officer 213-220-3988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 251B00000X Case Management | |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |