| NPI | 1659972099 |
|---|---|
| Doing Business As | BONMENTE |
| Entity Type | Organization |
| Authorized Contact | MOTTSIN LAWRENCE THOMAS CEO 310-360-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2021-09-02 |