| NPI | 1366875130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBERLYNNE DICKENS-VITHLANI Senior Facilitator 562-344-5022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |