| NPI | 1649916677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN BETHONEY CEO, Nurse Practioner 310-920-1677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-05-11 |