| NPI | 1376384610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MIGUEL CHAVEZ Licensed Mental Health Counselor 323-577-5424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2025-02-01 |