| NPI | 1528469756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH JUAREZ Student In An Organized Health Care 213-821-5977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2022-07-21 |