| NPI | 1043704471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COMMORAH LYLES - MAY Owner 213-422-1650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20181437177) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |