| NPI | 1376130377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY SCHOSER Revenue Cycle Manager 323-364-6489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2025-05-19 |