| NPI | 1679304109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAFIQUE KAKOOZA CEO 323-251-7313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-08-07 |