| NPI | 1174499123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE VALENCIA Billing Specialist 626-280-6510 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-16 |