| NPI | 1609040260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE SAUCEDO Program Director 323-262-1786 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA R0802072146) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |