| NPI | 1417218678 |
|---|---|
| Other Name | BOYLE HEIGHTS SATELLITE #2 |
| Entity Type | Organization |
| Authorized Contact | HENRY VAN OUDHEUSDEN President/CEO 310-679-9126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |