| NPI | 1992179360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETTE DOUGLAS President & CEO 310-963-7174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA LMFT 49399) |
| Enumeration Date | 2015-11-22 |
| Last Update Date | 2019-03-25 |