| NPI | 1669616827 |
|---|---|
| Former Legal Business Name | SAME AS ABOVE |
| Entity Type | Organization |
| Authorized Contact | KEVIN L. BROWN Program Coor. 323-750-8040 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YS0200X Counselor, School |
| Additional Taxonomies | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-04-30 |