| NPI | 1124599444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN RAMIREZ Senior Coordinator 562-273-0722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251X00000X | |
| Enumeration Date | 2018-12-14 |
| Last Update Date | 2022-02-10 |