| NPI | 1134420953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN TINSLEY Director Or Program Operations 626-441-8495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA lcs19757) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |