| 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 |