| NPI | 1730947276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNA CHAVEZ Pmhnp Bc 626-714-8739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2025-05-22 |