| NPI | 1023237161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADOLFO ESTRADA Administrative Coordinator 562-906-2676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 790100BN) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |