| NPI | 1104957489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN SOUTHER Director Of Dmh 213-738-4651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: CA LCS21312) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |