| NPI | 1376272534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA JENNINGS Director 562-726-0415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 106S00000X Behavior Technician | |
| 171400000X Health & Wellness Coach | |
| 172A00000X Driver | |
| 225XM0800X Occupational Therapist, Mental Health | |
| 251S00000X Community/Behavioral Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2022-06-05 |
| Last Update Date | 2022-07-23 |