| NPI | 1972632404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES O EZE Executive Director 323-759-6224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 190508an) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |