NPI | 1790144319 |
---|---|
Other Name | THE WELLNESS CENTER AND FIELD-BASED MHS |
Entity Type | Organization |
Authorized Contact | ANGELINE NICOLE LOCH Chief Compliance Officer 323-334-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2016-02-11 |
Last Update Date | 2022-02-07 |