| NPI | 1699064436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARICELA CALATAYUD Owner 626-284-7818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA LCS14705) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |