| NPI | 1568205433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA CLARK Office Manager 310-482-1846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-10-15 |