| NPI | 1639518079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAJA I IBRAHEEM Executive Director 562-426-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA A66124) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |