| NPI | 1245599430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN VO-JUTABHA Division Director, Training 310-390-6612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |