| NPI | 1912225913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J. MARTIN Manager 310-222-3198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA 390200000X) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2010-05-14 |