| NPI | 1508207887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON JEAN PERKS Director 310-829-0655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA LCS 20844) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |