| NPI | 1013767060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTIAL LORENE SCOTT Executive Director 310-482-9392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |