| NPI | 1447337209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL RUSSELL Mental Health Counselor RN 323-769-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA RN 429150) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |