| NPI | 1720167810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE SUNDARESON Clinical Training Director 562-216-2338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-11-02 |