| NPI | 1952391989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADY BRAYTON Office Manager 562-495-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2015-01-22 |