| NPI | 1962352252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL DAVIDSON Administrator 323-298-1668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 172V00000X Community Health Worker | |
| 207Q00000X Family Medicine | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| 251300000X Local Education Agency (LEA) | |
| Enumeration Date | 2026-01-28 |
| Last Update Date | 2026-01-28 |