| NPI | 1538527577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN GREEN President 310-997-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA G76287) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |