| NPI | 1902024607 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LISA CHAVEZ Director 562-436-3533 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 190229AN) | 
| Enumeration Date | 2007-04-20 | 
| Last Update Date | 2020-08-22 |