| NPI | 1225173180 |
|---|---|
| Other Name | PACIFIC CLINICS LATINA YOUTH PROGRAM |
| Entity Type | Organization |
| Authorized Contact | JAMES J. BALLA President & Chief Executive Officer 626-254-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2021-09-23 |