| NPI | 1992143903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EHIGIMETOR INEGBENOISE Executive Director 323-759-3464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 190530AP) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-12 |