| NPI | 1467386326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATYAHNA COSTELLO Social Worker 562-673-8959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2026-06-08 |
| Last Update Date | 2026-06-08 |