| NPI | 1902346968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MOLNAR Director Of Applications 562-467-5577 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |