| NPI | 1861512600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LASCANO Co Owner 323-256-9906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA mfc23364) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |