| NPI | 1366955700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLIE WEISER Owner 310-245-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MF28800) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |