| NPI | 1649712258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOO HEE JULIE NAM Division Clinical Supervisor 562-405-6399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |