| NPI | 1225329048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANUGWOM CFO 323-751-4778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 190513AP) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-04-27 |