| NPI | 1215595392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA SOCORRO LAPUS Director Of Finance 310-396-6468 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |