| NPI | 1598924953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH LEE SUBOTNIK Director 310-824-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA PSY12770) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |