| NPI | 1891411351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN LICHTERMAN Co CEO 323-353-7632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2024-07-18 |