| NPI | 1831784057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DULCE M RUIZ Contracts And Grants Manager 310-751-5442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2021-03-09 |