| NPI | 1124163100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN OKON Program Director 310-532-3464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 59793A) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |