| NPI | 1144070749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VATTANA PEONG Executive Director 714-571-1966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |