| NPI | 1184938623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL H ACKERMAN President 310-826-4882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: CA G11839) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health (Licence: CA G11839) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-08-10 |