NPI | 1780958025 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY HUMPHREYS Program Director 626-893-5046 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 1-11-8431) |
Enumeration Date | 2012-03-05 |
Last Update Date | 2012-03-05 |