NPI | 1396265336 |
---|---|
Doing Business As | VALLEY STAR CRISIS RESIDENTIAL - CASA PASEO |
Entity Type | Organization |
Authorized Contact | KENT DUNLAP President And Chief Executive Offic 310-221-6336 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2017-06-21 |
Last Update Date | 2025-01-09 |