| NPI | 1760975429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETICIA H JUAREZ Qa Administrative Manager 213-342-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2025-07-21 |