NPI | 1962173815 |
---|---|
Entity Type | Organization |
Authorized Contact | JANISHA MICKENS Owner 310-598-8048 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-09-21 |
Last Update Date | 2021-09-21 |