NPI | 1164847133 |
---|---|
Entity Type | Organization |
Authorized Contact | BAHBAH MAKOUIE Owner 310-553-0432 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFC 52448) |
Enumeration Date | 2014-02-27 |
Last Update Date | 2014-02-27 |