| NPI | 1689945537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX SCOTT LIEBERENZ Sr.VP/CFO 323-361-2235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2022-11-17 |