| NPI | 1861716854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AURELIO J ENRIQUEZ Owner 626-665-7354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA LCS 24862) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |