| NPI | 1417147307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALSEY JESSE MENENDEZ Social Work Therapist 213-202-3970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA ASW 20534) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2007-07-27 |