NPI | 1437574340 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL LUUIS HUDSPETH CEO 323-731-4981 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 190592AN) |
Enumeration Date | 2014-02-28 |
Last Update Date | 2018-06-20 |