| NPI | 1336571280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS DOSS Manager 626-577-2261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA LCS 28715) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-02 |