| NPI | 1407674518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHATONETTE T THORNTON Owner 562-607-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251X00000X |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2024-09-27 |