NPI | 1174703839 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK T. BEZDEK Owner 310-820-2995 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA G27084) |
Enumeration Date | 2007-11-10 |
Last Update Date | 2007-11-10 |