NPI | 1790919579 |
---|---|
Doing Business As | N/A |
Entity Type | Organization |
Authorized Contact | ALADINO ROMAN Program Coordinator/ Counselor 323-445-9628 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2009-05-08 |
Last Update Date | 2022-07-21 |