| NPI | 1922131549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW E ETUK Excutuve Director 323-751-0608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 190476AN) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |