NPI | 1376794560 |
---|---|
Entity Type | Organization |
Authorized Contact | ALVARO P. BALLESTEROS Chief Operating Officer 213-484-1186 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation |
Enumeration Date | 2008-10-06 |
Last Update Date | 2020-10-19 |