| NPI | 1053065045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT DUNLAP President And Chief Executive Offic 310-221-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-08 |