| NPI | 1720851181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA R JACKSON-ZENO Medical Billing Project COO Rdinator 310-686-6092 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |