| NPI | 1477989515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN J SOUTHARD Director 213-738-4601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: CA 7756) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |