| NPI | 1609545003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFEANYI M. OLELE Medical Director 310-213-9945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2022-07-27 |