| NPI | 1427518786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVARO P BALLESTEROS Chief Executive Officer 323-201-4516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2022-03-23 |