| NPI | 1609149459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL LEIGH MACON-RICHARD Director 626-283-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 26253) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |