| NPI | 1326388745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETHA VILLALOBOS Interim Outpatient Director 323-294-4932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2017-11-21 |