| NPI | 1508001645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX BRANXBURG Program Director 818-776-1755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 960001358) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2009-12-18 |