| NPI | 1720377252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA L. GUILLORY Executive Director 323-299-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 190707AN) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |