| NPI | 1083162630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CONCA General Manager 310-955-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA 193200000X) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |