| NPI | 1689433302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENTON D LIPSCOMB CEO 323-213-9023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 261QM2500X Clinic/Center Medical Specialty | |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-03-15 |