| NPI | 1770608036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENN MCALEER Cco 323-361-2302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA psy20586) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2016-06-22 |