| NPI | 1356840128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN M. HILL Owner 323-207-8656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY29719) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2024-03-30 |