| NPI | 1598472128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOLANGE-BELLE BOMA ANYU Owner 310-343-9965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2024-10-01 |