| NPI | 1710345715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDEN GARCIA-BALIS Exectutive Director 310-670-1410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 960000174) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |