| NPI | 1659441368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN J SOUTHARD Director 213-738-4601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA 334162) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2008-06-15 |