| NPI | 1477336543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSAURA RUIZ Behavioral Health Coordinator 213-747-5542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-08-14 |