| NPI | 1639293574 |
|---|---|
| Doing Business As | WELLNEST - LEIMERT PARK |
| Entity Type | Organization |
| Authorized Contact | LISA HIRSCH MARIN Chief Operating Officer 323-372-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2022-10-25 |