| NPI | 1639249402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY DION ODEN Psychiatric Social Worker 323-290-8673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 19676) |
| Additional Taxonomies | 251S00000X (Licence: CA 101YM0800X) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |