| NPI | 1710668892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT J BRYSON COO 626-755-0966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2024-05-31 |