| NPI | 1437476660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW M VELASQUEZ Executive Director 310-324-0447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 53198A) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |