| NPI | 1477220283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELITA FERNANDO Administrative Manager 310-519-8723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-08-28 |
| Last Update Date | 2022-04-26 |