| NPI | 1659956555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RISHI KHATRI Manager 310-571-5957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2023-10-26 |