| NPI | 1942707088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEE F WILLIAMS CEO 310-855-2537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20181243235) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |