| NPI | 1639945140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS POLSTER CEO 310-955-1352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-27 |