| 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 |