| NPI | 1699407577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWANDA SMITH CEO 323-379-4374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2024-01-20 |