| NPI | 1104492875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEMI GARCIA VASQUEZ Director Of Contracts And Complianc 323-295-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2021-06-02 |