| NPI | 1669231056 |
|---|---|
| Former Legal Business Name | JONATHAN MEZA, LPCC |
| Entity Type | Organization |
| Authorized Contact | JONATHAN A MEZA Owner 323-207-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |