| NPI | 1669976874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA URBAN Director Of Operations 310-926-8924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-11-20 |