| NPI | 1578377099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JEFFERSON Director 310-612-3778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-04 |