| NPI | 1588213219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA RODRIGUEZ Finance Manager 310-406-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2020-10-15 |