| NPI | 1659861516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA BOLAND Director 310-663-2804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2023-12-14 |