| NPI | 1063163350 |
|---|---|
| Doing Business As | VALLEY VISTA PSH PROGRAM |
| Entity Type | Organization |
| Authorized Contact | LA KEISHIA CHILDERS C CAO 323-644-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-01-19 |