NPI | 1285118588 |
---|---|
Other Name | CENTRAL STAR FSP |
Entity Type | Organization |
Authorized Contact | KENT DUNLAP President And Chief Executive Offic 310-221-6336 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2018-09-21 |
Last Update Date | 2023-11-03 |