NPI | 1740824382 |
---|---|
Entity Type | Organization |
Authorized Contact | DEREK SCOTT HOXBY Owner 310-402-3783 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-11-06 |
Last Update Date | 2019-11-06 |