| NPI | 1760035828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CERDA Program Compliance Analyst 213-260-7663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |