| NPI | 1982301446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY BLUM BOWLES Therapist/Owner 310-403-3825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2023-02-14 |