| NPI | 1699550434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUANISHA THOMAS Owner 310-734-9895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2024-10-31 |