| NPI | 1053776104 |
|---|---|
| Other Name | SSG KYCC |
| Entity Type | Organization |
| Authorized Contact | HERBERT K HATANAKA Executive Director 213-553-1822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2021-11-23 |