NPI | 1770947525 |
---|---|
Doing Business As | LA BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | JEREMY DAVID MARTINEZ Owner/Member 424-240-8511 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA A101936) |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2016-04-07 |
Last Update Date | 2021-10-22 |