| NPI | 1083734891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA LAVETTE HARRIS Psw 323-754-2856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 11497) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-03-04 |