| NPI | 1952474439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMINA IKRAMULLAH Psychiatric Social Worker 562-940-6077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA A18120) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-08-08 |