| NPI | 1043539026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE C. MCNEAL CEO 323-326-0860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 104360CCBCDC) |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2010-05-29 |
| Last Update Date | 2019-06-25 |