| NPI | 1942555479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY ELSKY Director 310-787-9334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 1A-19-155) |
| Additional Taxonomies | 251B00000X Case Management (Licence: CA 1A-19-155) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2012-07-20 |