| NPI | 1437714631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOMTEA MITCHELL Executive Director 323-804-0476 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-05-03 |