| NPI | 1740093954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI KAEZAR CEO 310-666-6841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-03-18 |