| NPI | 1336412303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMI MAE FLOURNOY Social Worker Case Manager 562-243-3709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: TN 5388) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |