| NPI | 1336393214 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | CHONTEL LARISE ROLISON Case Manger 323-602-9782 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251B00000X Case Management (Licence: CA 251B00000X) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |