| NPI | 1487848404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA KOO President 310-318-2566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA G78080) |
| Enumeration Date | 2007-09-03 |
| Last Update Date | 2007-09-03 |