| NPI | 1982151064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLON A. TILMON CEO 818-577-8743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 1-14-10254) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |