| NPI | 1255891875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVARO P BALLERSTEROS Chief Executive Officer 323-201-4516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251X00000X Supports Brokerage | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2022-03-23 |