| NPI | 1952886822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA BACANI CFO 626-807-0401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2023-08-07 |