| NPI | 1073951992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY VAN OUDHEUSDEN President/CEO 310-679-9126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 190007JN) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-08-13 |