| NPI | 1659161958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE M MANUEL Sr. Community Worker 213-905-3659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-05-09 |
| Last Update Date | 2025-05-09 |