| NPI | 1962041384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROD AMIRI Executive Director 310-247-8160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |