NPI | 1710361969 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN F COREY Duel Owner 626-755-0003 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 190821AP) |
Enumeration Date | 2015-07-17 |
Last Update Date | 2015-07-17 |