| NPI | 1659561223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIQUELLE DEONDREA LEWIS Executive Director 310-763-1660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 197804218) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2020-03-03 |