| NPI | 1659126134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE KHACHI President 626-765-4045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 106H00000X Marriage & Family Therapist | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-04-18 |