NPI | 1730649674 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL F RADKE Treasurer 310-641-0870 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-03-25 |
Last Update Date | 2019-04-11 |