| NPI | 1063878510 |
|---|---|
| Other Name | PICO OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | MATT WALTON Interim Executive Officer 310-314-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2024-09-20 |