NPI | 1174066435 |
---|---|
Other Name | PACIFIC LODGE YOUTH SERVICES |
Entity Type | Organization |
Authorized Contact | TODD DAVID SOSNA CEO 323-443-3001 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2016-11-18 |
Last Update Date | 2023-05-22 |