| NPI | 1013885995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN CHRISTOPHER WATERS Chief Executive Officer 310-714-7234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2025-10-23 |
| Last Update Date | 2025-10-23 |