| NPI | 1376337774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW ELLIOTT CEO 323-369-0069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-04-09 |