| NPI | 1013756501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIRVANA GHAEMI MAHMOODZADEH Member 818-913-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-05-23 |