NPI | 1932410677 |
---|---|
Entity Type | Organization |
Authorized Contact | KYRAH JOHNSON Business Manager 323-851-4577 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 1A-19-087) |
Enumeration Date | 2010-06-28 |
Last Update Date | 2010-06-28 |