| NPI | 1568294205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN THOMAS President 626-578-5585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |