| NPI | 1386288017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA KEISHIA NICOLE CHILDERS Sr. Director Of Compliance & Qa 323-644-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |