| NPI | 1144793068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANNON MELLISA MITCHELL CEO/CFO/Sec 323-529-3269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251X00000X |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-05 |