| NPI | 1417572694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON CARTER Clinical Psychologist 323-459-9642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2023-09-06 |