| NPI | 1124178520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK JOHN MCCARTHY President 310-378-8952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFT18641) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |