NPI | 1356589055 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTORIA ANN MENCHACA President 323-938-0748 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA PSY10969) |
Enumeration Date | 2009-02-03 |
Last Update Date | 2015-01-08 |