NPI | 1699306340 |
---|---|
Other Name | VIP EVERGREEN ELEMENTARY SCHOOL |
Entity Type | Organization |
Authorized Contact | DUSTIN SCHIADA Clinical Director 323-221-4134 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-01-31 |
Last Update Date | 2020-01-31 |