NPI | 1992411151 |
---|---|
Entity Type | Organization |
Authorized Contact | AILEEN BUI Lmft 562-380-1191 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2023-01-30 |
Last Update Date | 2023-01-30 |