| NPI | 1851420079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIL WONG CEO 323-644-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA 930000058) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2017-08-15 |