| NPI | 1598369530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKECIA HIGGINBOTHAM Executive Director 310-292-8796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2021-02-23 |