| NPI | 1952518896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDDIE JOHNSON Partner 310-537-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 190422AP) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |