| NPI | 1538320114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER E BRACKELMANNS President 818-990-1225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA G6575) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2008-06-17 |