| NPI | 1124342845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRY GERBEN VAN ZEE Executive Director 626-812-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PP6092) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |