| NPI | 1982482725 |
|---|---|
| Doing Business As | MARISSA MILLONZI |
| Entity Type | Organization |
| Authorized Contact | MARISSA JEPSEN President 310-993-5230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-09-21 |