| NPI | 1225334501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDOLPH WASHINGTON Director 310-751-0821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 2518979) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-09-19 |