NPI | 1790008258 |
---|---|
Entity Type | Organization |
Authorized Contact | MARVIN SOUTHARD Director Of Mental Health 213-430-6700 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: WA mantela352pr) |
Additional Taxonomies | 251E00000X Home Health (Licence: AZ d05195986) |
Enumeration Date | 2010-03-11 |
Last Update Date | 2010-03-11 |