| NPI | 1790974798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILL THOMAS WASHINGTON President 323-751-3896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 109445AN) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-17 |