| NPI | 1104665793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL HARGESTAM Executive Director 661-558-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-22 |