NPI | 1356605935 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERYL DENISE WALKER Administrator 323-737-1370 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA 197601058) |
Enumeration Date | 2012-06-28 |
Last Update Date | 2012-06-28 |