| NPI | 1912320417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE PECUCH Member 626-532-0789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL PY7759) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |