| NPI | 1184750168 |
|---|---|
| Other Name | PROVIDENCE SAINT JOHNS HEALTH CID |
| Entity Type | Organization |
| Authorized Contact | RUTH CANAS Outpatient Director 310-829-8921 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 569538) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2016-04-21 |