| NPI | 1407666548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA H WONG Director 213-947-6670 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-01-10 |