NPI | 1447983549 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHLEY YAGHOUBIAN Owner 323-938-1829 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
103T00000X Psychologist | |
Enumeration Date | 2022-07-06 |
Last Update Date | 2022-07-06 |