| NPI | 1205054079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CHAVEZ Director 562-436-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 190229AN) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |