NPI | 1477834125 |
---|---|
Entity Type | Organization |
Authorized Contact | JOELENE FRIESTAD Supervisor 310-534-1083 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2011-09-07 |
Last Update Date | 2011-09-07 |