| NPI | 1275290793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASPER DO Grant Administrator 213-251-7668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X Supports Brokerage |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2022-06-16 |