| NPI | 1033343561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH GIBSON Qa & Compliance Manager 310-337-7417 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 191222591) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2018-11-06 |