| NPI | 1912381484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA H. WONG Director 213-947-6670 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2025-07-10 |