NPI | 1740978394 |
---|---|
Entity Type | Organization |
Authorized Contact | SHABNAM SASHA KASSAI Owner 310-985-5846 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2023-05-01 |
Last Update Date | 2023-05-10 |