| NPI | 1528507084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA LIAW CHUNG CEO 424-272-5233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY27669) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2019-07-17 |