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