| NPI | 1114190188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE CUELLAR BRAVO Program Director 323-728-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |