| NPI | 1932891199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LING CFO 310-956-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-05-24 |