| NPI | 1336348853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNETH IFEANYICHUKWU OKORIE Program Director 310-227-3940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |