| NPI | 1750605143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN K MICHAEL Executive Director 310-390-9717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 36631) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |