| NPI | 1659744225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA L SPECHT Clinical Director 323-291-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: CA 00219628300013) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |