| NPI | 1386182046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTEL CORTINOVIS CEO, Owner 323-250-2461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY28895) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |