| NPI | 1730940115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN CO CEO 323-803-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-30 |