| NPI | 1356109037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA YOUNG Owner 310-345-4149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QR1100X Clinic/Center, Research |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |