| NPI | 1508166612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIO VASQUEZ Major 310-370-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: CA 191605024) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |