| NPI | 1043415037 |
|---|---|
| Doing Business As | CENTRALIZED CHILD INTENSIVE CASE MGMT SERVICES |
| Entity Type | Organization |
| Authorized Contact | ERICA OCHOA Chief Compliance Officer 909-388-0882 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2022-06-16 |