| NPI | 1164987467 |
|---|---|
| Doing Business As | RAGE GROUND |
| Entity Type | Organization |
| Authorized Contact | EDWIN JAVIER TORIBIO COO 323-793-3128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |