| NPI | 1568868859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN DAVIS Owner 310-766-5971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 10-10-7000) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2015-01-04 |