| NPI | 1760110175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN HALLIWELL Mental Health Clinician/Owner 562-221-0712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2025-05-13 |