| NPI | 1053663260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS JENKINS CEO 310-629-5929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA 198016591) |
| Additional Taxonomies | 251B00000X Case Management (Licence: CA 198016590) |
| 251C00000X (Licence: CA 198016590) | |
| 251X00000X Supports Brokerage (Licence: CA 198016590) | |
| 253Z00000X In Home Supportive Care (Licence: CA 198016591) | |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |