| NPI | 1295100642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEKEISHA MONIQUE WATERS Outreach Advocate 310-908-2842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |