| NPI | 1114686219 |
|---|---|
| Doing Business As | SA3 ENHANCED CARE MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | LISA H. WONG Acting Director 213-738-4601 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2022-07-21 |