| NPI | 1912242413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON L LOWERY Owner/Director 310-452-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFC48568) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2012-12-10 |