| NPI | 1942899646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALIA VAISAITE President 310-430-1708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2021-01-16 |
| Last Update Date | 2023-06-26 |