| NPI | 1659851053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE LASEY GARY Owner 562-205-8846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCS29611) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |