| NPI | 1194035238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DULCE M RUIZ Finance Compliance Manager 310-751-5442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2025-07-28 |