| NPI | 1013375054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY SRAN Clinical Director 310-365-5692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA BCBA 1-14-17370) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |