| NPI | 1497562029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGO MARQUEZ CEO 818-689-3687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 251S00000X |
| 405300000X Prevention Professional | |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-17 |