| NPI | 1417378514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL SCHWARTZE Program Director 323-756-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 1275668105) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |