NPI | 1538926753 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY MALEK Manager 626-644-0070 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2024-03-04 |
Last Update Date | 2025-02-20 |