| NPI | 1154645208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALINE N CHIMA Executive Director 310-292-9941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |