| NPI | 1285081059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRET ANDERSON President / Program Director 562-945-2977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |