| NPI | 1811182314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ONYEAGORO Executive Director 310-529-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA Not Yet) |
| Enumeration Date | 2007-09-08 |
| Last Update Date | 2007-09-08 |