| NPI | 1851014542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSA MATSUMOTO Licensed Clinical Social Worker 626-209-9965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-19 |