| NPI | 1689100745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS HAPPER Administrator 310-305-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: CA A66385) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: CA E4361) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |