| NPI | 1699703827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA H. WONG Acting Director 213-738-4601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 273R00000X Psychiatric Unit |
| 302F00000X Exclusive Provider Organization | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2022-08-26 |