| NPI | 1124467279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEFEMI OLUFISAYO ADEGBESAN President 310-663-0789 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2013-12-16 |