| NPI | 1932648474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORENE CATHERINE TOUTANT Owner 626-755-8726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI 4199) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |