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 |