NPI | 1629767207 |
---|---|
Entity Type | Organization |
Authorized Contact | VALENCIA CARILLO Administrator 310-251-0245 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 174200000X Meals |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2023-05-01 |
Last Update Date | 2023-05-01 |