| NPI | 1518661834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNES N KOSKEI Owner 626-638-8392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-03-29 |