NPI | 1124140637 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN PROSHAK CEO 323-465-5888 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 190272AP) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2011-08-22 |