| NPI | 1780480673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUELEN D YANCOR Managing Director 310-341-6258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2025-02-21 |