| NPI | 1932539657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW TERRY MARTIN President 562-366-3557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 190645AP) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |