| NPI | 1801102132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANNY BURGESS President 626-441-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY10843) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |