| NPI | 1497277552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIAUNDRA JACKSON CEO 310-751-0389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA 100193) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2017-07-11 |