| NPI | 1578455846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER WHITLATCH Managing Director 310-562-2980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-07-19 |
| Last Update Date | 2025-07-19 |