| NPI | 1427608967 |
|---|---|
| Former Legal Business Name | ALIVE EDUCATION MANAGEMENT AND SERVICES |
| Entity Type | Organization |
| Authorized Contact | SHANNON NICOLE STANFORD CEO, Clinical Director 818-795-5206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |