| NPI | 1346556214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GREEN Prgram Head 213-351-5369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 24803) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |