| NPI | 1558253120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACY FIELDS CEO 310-365-4061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2026-07-16 |