| NPI | 1053687160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDA RENEE DIXON Executive Director 323-988-3744 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 190622AN) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2012-03-23 |